Healthcare Provider Details

I. General information

NPI: 1962380451
Provider Name (Legal Business Name): FRANKIE HAYNES LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2025
Last Update Date: 08/23/2025
Certification Date: 08/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 HUNTER CT STE 3
BOWLING GREEN KY
42103-7032
US

IV. Provider business mailing address

5966 SCOTTSVILLE RD STE 3
BOWLING GREEN KY
42104-7908
US

V. Phone/Fax

Practice location:
  • Phone: 270-904-5104
  • Fax: 270-201-5980
Mailing address:
  • Phone: 270-791-8189
  • Fax: 270-201-5980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW00001098
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: